title: Loeffler's endocarditis with biventricular mural thrombi.
abstract: A 42-year-old man presented to clinic with 1-week history of cough, malaise, loss of appetite and fever. Symptoms started acutely with cough and generalised weakness followed by fever, chills, nausea, vomiting and diarrhoea. He has been healthy before with no chronic illnesses. Further workup disclosed, leucocytosis with 87% eosinophilia, bilateral lung infiltrate, deep venous thrombosis, pulmonary embolism and both right and left biventricular mural thrombi. Extensive workup was done and was consistent with hypereosinophilic syndrome, which explained all his clinical findings. The patient was started on high-dose steroids and responded very well with a complete resolution of symptoms over the course of a few weeks.
authors.affiliation: Cleveland Clinic, Cleveland, Ohio, USA.
authors.forename: Naseem
authors.initials: N
authors.lastname: Eisa
authors.forename: Khaldoon
authors.initials: K
authors.lastname: Shaheen
authors.forename: Abdul Hamid
authors.initials: AH
authors.lastname: Alraiyes
authors.forename: M Chadi
authors.initials: MC
authors.lastname: Alraies
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D004305:Dose-Response Relationship, Drug; D005500:Follow-Up Studies; D005938:Glucocorticoids / Q000008:administration & dosage*; D006331:Heart Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006352:Heart Ventricles; D006801:Humans; D017681:Hypereosinophilic Syndrome / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D019028:Magnetic Resonance Imaging, Cine; D008297:Male; D013927:Thrombosis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D014057:Tomography, X-Ray Computed
chemical_list: D005938:Glucocorticoids